Permit III '''..' * CITY OF TIGARD PLUMBING PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00504
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/14/2007
PARCEL: 2 S 112 DA -01400
SITE ADDRESS: 15350 SW SEQUOIA PKWY 200 ZONING: I -P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: 002 JURISDICTION: TIG
PROJECT: MANAGEMENT GROUP
Project Description: Relocating existing sink. No increase in dwelling unit count.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: B FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 2 URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 -WMI
PORTLAND, OR 97224 [PLUMB] Permit Fee 11/14/2007 $72.50
[TAX] 8% State Surcha 11/14/2007 $5.80
Phone : Total $78.30
Contractor:
ADDISON PLUMBING
1407 HOMESTEAD PLACE
MOLALLA, OR 97038 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 785 -1840
FAX 503- 829 -9701
Reg #: LIC 151754
PLM 3 -449PB
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of
these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: 1 Permittee Signature: 4tut Y j o LL.
Call 503.639.4175 by 7:00 a.m. for an inspection that business day_
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Plumbing Permit Applicati FOR OFFICE USE ONLY
City of Tigard NOV 1 F/�t Date/By: t I I o ; Permit Nor v _�,� , A _- Received
n 13125 SW Hall Blvd., Tigard • C I •
Phone: 503.639.4171 Fax. �.: r� /r Plan Review
Date
/By: , / Other Permit No.Date/By: TIGARD
Inspection Line: 503.639.4175 //�/1 N J Date Ready /By: Juris: ® See Page 2 for. '
Internet: www.tigard- or.gov WOO �� Notified/Method: Supplemental Information
TYPE OF WORK ��/ FEE* SCHEDULE
❑ New construction ❑ Demolition For special information use checklist
Description I Qty. I Ea. I Total
N Addition/alteration /replacement ❑ Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (I) bath 249.20
❑ 1- and 2- family dwelling 15 Commercial/industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi- family SFR (3) bath 399.00
• Each additional bath/kitchen 45.00
❑ Master builder ❑ Other:
Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities •
Job site address: L 53 gro , cam) SErl u to 1 A Catch basin or area drain 16.60
City/State /ZIP: T Ogs..o 09- Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: LtVO I Project name: Tk y„„e G�wP Footing drain (no. linear ft.: _) Page 2
Manufactured home utilities 110.00
Cross street/directions to job site: -
Manholes 16.60
Rain drain connector 16.60
•
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: ) Page 2 •
Subdivision: I Lot no.: Water service (no. linear ft.: ) Page 2
Fixture or item
Tax map /parcel no.:
Absorption valve 16.60
DESCRIPTION OF WORK Backflow preventer Page 2
Q.1..vd / 4%.,eaKvcaa-- SC 04( Backwater valve 16.60 •
R . A - �"e _ -C� S _ 1_ SA Ili, -0 � • Clothes washer 16.60
x Dishwasher 16.60
PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60
Ejectors/sump 16.60
Name: (cu, fw...sE
Expansion tank 16.60
Address: /51c/ Sw S ca p(_w,t Sin e_ job Fixture /sewer cap 16.60
City/State /ZIP: Tt oil Floor drain/floor sink/hub 16.60
Phone: (S ) (z We Fax: ( So1 ) • Garbage disposal 16.60
❑ APPLICANT ❑ CONTACT PERSON Hose bib 16.60
Ice maker 16.60
Business name:
- Interceptor /grease trap 16.60
Contact name: Medical gas (value: $ ) Page 2
Address: Primer 16.60
City/State /ZIP: Roof drain (commercial) 16.60
Phone: ( ) Fax: : ( ) Si asin/lavatory i 16.60
Tub /shower /shower pan 16.60
E -mail:
Urinal 16.60
CONTRACTOR Water closet • 16.60
Business name: AeNasa,,.. Q\kv..1w\r LLL Water heater J 16.60
Address: Other: •
2742.x' s• ben- .rorcx,-e 0
City/State/ZIP: 204,2- Subtotal
w`' ^� 4 Minimum permit fee: $72.50
Phone: (SoS ) clz.- (t,,'7 Fax: (503 ) (p31.. -((t Residential backflow minimum permit fee: $36.25
CCB Lic.: /S--( 7s-44, Plumbing Lic. no.: 3 - ts Plan review (25% of permit fee)
State surcharge (8% of permit fee) •
Authorized signature: ■,.,pt enrl[ -R, TOTAL PERMIT FEE'� / / . y / ���� X 30
Print name: J e Date: it , (.(.. - This permit application expires if a permit is not obtainlsd within
180 days after it has been accepted as complete.
• *Fee methodology set by Tri-County Building Industry Service Board.
I:\ Building \Permits\PLM- PermitApp.doc 06/26/06 440- 4616T(10/02/COM /WEB)
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: PL{y12007_00501
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/14/2007
Phone: (503) 639 -4171 "IIy '
Inspection Requests (24 Hrs.): (503) 639 -4175 .. 1.L
INSPECTION WORKSHEET FOR DATE: 12/10/2007 TIME: 7 :01AM PAGE: 37
SITE ADDRESS: 15350 SW SEQUOIA PKWY 200 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: MANAGEMENT GROUP
DESCRIPTION: Relocating existing sink No increase in dwelling unit count.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: ADDI PLUMBING PHONE #: 503-785-1840
Inspection Request Scheduled For: Date: 12/10/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
3D9 Plumbing final 061173 -01 503. 7488116 N
Corrections /Comments /Instructions:
Cac re ' R 1/4,-Ayl yl,)
•
X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: (T/I !� I kf � """ Date: 124 10 / 07 Phone #: (503) 718-
CITY OF TIGARD • A .
BUILDING DIVISION PERMIT #: PL10007- 00504
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/14/2007
Phone: (503) 639 -4171 ' A„ a'
Inspection Requests (24 Hrs.): (503) 639 -4175 `'I ��
INSPECTION WORKSHEET FOR DATE: 11/15/2007 TIME: 7:01AM PAGE: 37
SITE ADDRESS: 15350 SW SEQUOIA PKWY 200 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: MANAGEMENT GROUP
DESCRIPTION: Relocating existing sink. No increase in dwelling unit count.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: ADDISON PLUMBING PHONE #: 503-785 -1840
Inspection Request Scheduled For: Date: 11/15/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 059706-01 603-740-8116 N
Corrections /Comments /Instructions:
IX PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: J`�� \U y4 Date: (11 i s D Phone #: (503) 718-